探讨分析腔镜下甲状腺肿物切除术的临床护理策略

To Explore and Analyze the Clinical Nursing Strategy of Endoscopic Thyroidectomy

目的观察腔镜下甲状腺肿物切除术的临床护理策略分析。方法将在我院近期(2018年01月至2018年03月)收治以甲状腺肿物为诊断行切除术患者总计420例,采取常规护理干预,设置为对照组。2018年04月,制定相应的临床护理策略,针对(2018年04至2018年12月)时期收治腔镜下甲状腺肿物切除术患者总计132例,设置为实验组。对照两组患者术后不同时间段疼痛评分、切口愈合时间、住院时间、满意度评分,术后并发症发生率。结果实验组患者术后3d、5d疼痛评分、切口愈合时间、住院时间、护理满意度评分明显少于对照组,实验组患者术后并发症发生率为2.27%,对照组患者为21.43%,差异具有统计学意义(P<0.01)。结论在腔镜下甲状腺肿物切除术中,采取针对性的临床护理策略干预,可明显减轻患者术后疼痛感,缩短伤口愈合时间,降低术后患者并发症的发生,减少患者住院时间,拉近患者与护理人员之间的距离,提高患者对护理的满意度,效果理想。

Objective To observe the clinical nursing strategy of endoscopic thyroidectomy.Methods A total of 420 patients with goiter were treated in our hospital in the near future (January 2018 - March 2018).Routine nursing intervention was adopted and set as the control group.In April 2018,the corresponding clinical nursing strategies were formulated.A total of 132 patients who underwent endoscopic thyroidectomy during the period from April 2018 to December 2018 were assigned to the experimental group.The pain score,wound healing time,hospitalization time, satisfaction score and the incidence of complications were compared between the two groups.Results The pain score, wound healing time,hospitalization time and nursing satisfaction score of the experimental group were significantly less than those of the control group on the 3rd and 5th day after operation.The incidence of complications was 2.27% in the experimental group and 21.43% in the control group.The difference was statistically significant (P< 0.01). Conclusion In endoscopic thyroidectomy,targeted clinical nursing intervention can significantly reduce postoperative pain,shorten wound healing time,reduce the occurrence of complications,reduce hospitalization time,shorten the distance between patients and nurses,and improve patients' satisfaction with nursing.